Individual
DR. GEETHA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 KOLBE RD, SUITE 127, LORAIN, OH 44053-1654
(440) 414-9200
(216) 201-5582
Mailing address
3600 KOLBE RD, SUITE 127, LORAIN, OH 44053-1654
(440) 414-9200
(216) 201-5582
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35063115
OH
207RI0011X
Interventional Cardiology Physician
Primary
35063115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128709
ANTHEM
OH
01
—
060056427
RAILROAD MEDICARE
OH
05
—
0983440
—
OH
01
—
103053
KAISER
OH
01
—
341221800101
CARESOURCE
OH
01
—
E63115
SUMMA
OH
Enumeration date
01/20/2006
Last updated
01/07/2021
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